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ANNEXUTE – I

APPLICATION FORM FOR PEST AND DISEASE CONTROL

1.  Name                                                              :

2. Address                                                           :

3.  Pest and diseases affected area                        :

4.  Survey Number                                               :

5.  Ward Number                                                 :

6.  Description on pest & diseases                         :

   Place     :

 

FOR OFFICE USE (After site inspection )

1.  Name of pests/diseases affected                        :

2.  Total area affected                                            :

3.  Name of Pesticide/Fungicides used                    :

4.  Quantity utilized                                                 :

5.  Total area covered                                             :

6.  Name & Designation of the Officer                     :

     supervised.                                                         :

7.  Remarks                                                            :

                                                                                                                                                                                                                                                                                        Agrl. Officer/Agrl. Demonstrator/                                                                                                                                          Agrl. Supervisor

 

 

 

 

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